UNDP RBA Workshop on MDG-Based National Improvement Procedures Module 4: Wellbeing Methodologies UN Thousand years Ventu.

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UNDP RBA Workshop on MDG-Based National Advancement Systems Module 4: Wellbeing Procedures UN Thousand years Venture February 27-Walk 3, 2006 The MDG Needs Appraisal Approach
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UNDP RBA Workshop on MDG-Based National Development Strategies Module 4: Health Strategies UN Millennium Project February 27-March 3, 2006

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The MDG Needs Assessment Approach Reaching the MDGs will oblige putting resources into a result centered wellbeing framework that can convey an incorporated arrangement of value crucial wellbeing administrations to the greater part of the populace Such a fortified arrangement of human services conveyance incorporates anticipation and treatment exercises completed in the group, the facility and up to the area, referral clinic 2

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The MDG Needs Assessment Approach 1.Identify mediations 2.Specify focuses for every intercession 3.Estimate asset needs 4.Check results 3

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1. Picking Interventions Child Health, Maternal Health, and Reproductive Health IMCI bundle Immunization Neonatal bundle Antenatal consideration Skilled participation and clean conveyance Emergency obstetric consideration (EmOC) Contraception and family arranging administrations Safe premature births and consideration of complexities of fetus removal Infectious Diseases Antiretroviral treatment UNAIDS HIV counteractive action and consideration bundle Artemisinin blend treatment for jungle fever (as fitting) Insecticide regarded nets and IRS as proper (other vector control as suitable) DOTS and DOTS Plus (as obliged) 4

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1. Picking Interventions Health System New base and O&M of existing foundation at region level Adequate wellbeing work force compensations Pre-and in-administration preparing Community request intercessions Management frameworks and observing & assessment Research and advancement Interventions to guarantee accessibility, e.g.: Incentives to direct innovative work Establishment of national key meds records, including preventive, therapeudic, and conceptive wellbeing things, gear, and supplies Ensuring solid acquisition and conveyance frameworks Interventions to guarantee moderateness, e.g.: Equity estimating Reduction of taxes and obligations Reduction of imprint ups Interventions to guarantee proper utilization, e.g.: Programs to enhance the way medications are recommended, administered, and utilized Public media crusades and training of suppliers Access to Essential Medicines 5

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2. Characterizing and Setting Targets: Outcome Targets Some wellbeing MDGs have measured targets, for example, the objective on tyke mortality Others take into consideration translation of targets, for example, HIV/AIDS Each nation should embrace particular numeric result focuses to direct its MDG wellbeing method. Wellbeing MDGs offer no particular direction on scope levels for wellbeing administrations. General point ought to be to accomplish all inclusive scope of crucial wellbeing administrations (or “essential wellbeing package”). 6

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3. Evaluating Resource Needs To help nations in undertaking a Needs Assessment, the Millennium Project recommends the accompanying four-point methodology: Direct intercession expenses (medications, supplies, doctor\'s facility beds, demonstrative tests) Human assets Infrastructure Health frameworks fortifying 7

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Country epidemiological information Country demographic information Unit expenses of parts Drugs Hospital overnight boardinghouse Laboratory costs Other supplies Target scope rates 3. Assessing Resource Needs: A. Direct Intervention Costs NO. OF CASES TOTAL COSTS Intervention segments and amounts COST PER CASE 8

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3. Evaluating Resource Needs: B. HR Countries need to figure the number and expense of wellbeing specialists at all levels of the wellbeing framework expected to convey the mediations at scale. Wellbeing specialists incorporate (among others): specialists medical attendants and maternity specialists clinical officers lab professionals and technologists drug specialists and drug store experts group wellbeing laborers wellbeing chiefs 9

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3. Assessing Resource Needs: B. HR Human asset cost classifications incorporate pay and advantages in-administration preparing pre-administration preparing maintenance and conveyance motivations Human asset needs ought to be deliberately evaluated by every nation for the fancied level of administration scope 10

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3. Evaluating Resource Needs: B. HR Suggested costing systems Health specialists per offices Doctor or medical attendant to populace proportion Conducting an exhaustive HR needs study Country illustration: Yemen Human Resources Needs, 2015 11

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3. Evaluating Resource Needs: C. Framework Number and expense of building or restoring wellbeing offices from wellbeing presents on first level referral healing centers (counting capital expenses, support, and overhead). Nation case: Ethiopia Infrastructure Needs, 2015 12

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3. Evaluating Resource Needs: D. Wellbeing Systems Strengthening Two routines: Bottom-up costing of wellbeing framework segments Costs of chiefs at all levels (preparing and pay rates) Quality control and review frameworks Basic money related and bookkeeping frameworks Health data frameworks (and obliged ICT) Public wellbeing capacities, (for example, epidemiologic observation) Enhancing group interest for administrations (wellbeing training and group preparation) 13

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3. Evaluating Resource Needs: D. Wellbeing Systems Strengthening Overhead stamp up to direct cost of administrations Estimate a rate of direct cost of administrations as takes after: 14

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3. Assessing Resource Needs: Adding it All Up Costs of wellbeing framework reinforcing Direct expenses of all mediations Infrastructure and HRH costs + Total wellbeing expenses 15

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4. Checking Results Review all outcomes to guarantee that numbers are strong. Here are some specimen wellbeing expenses from Tanzania: 16

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